Individual
JAMES DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4513 LINCOLN AVE STE 102, LISLE, IL 60532-1290
(630) 484-4925
Mailing address
4513 LINCOLN AVE STE 102, LISLE, IL 60532-1290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178007850
IL
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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